Practices and Perceptions of Family Centered Care among Healthcare Providers: A Cross-sectional Study in a Pediatric Hospital

Background: Family-centred care (FCC) practices are challenging from the perspectives of both parents and health professionals. Purpose: This study aimed to compare experiences with FCC practices between Iranian mothers and nurses. Design and Methods: This comparative cross-sectional study was conducted in 2019 on 233 mothers with hospitalized infants or children and 233 nurses working in neonatal intensive care units or pediatric wards selected using convenience sampling at five hospitals in Iran. Data regarding experiences about FCC practices among mothers and nurses was collected through the Perceptions of FamilyCentered Care-Parent (PFCC-P) and the Perceptions of Family-Centered Care-Staff (PFCC-S) questionnaires containing the three subscales of Respect, Collaboration, and Support and 21 similar items. Descriptive and inferential statistics were utilized for data analysis using the IBM SPSS Statistics software. The significance level was set as p<0.05. Results: The mean and standard deviation of mothers' and nurses' experiences of FCC were 2.68±0.53 and 3.05±0.39; respectively (range, 1–4). The lowest score belonged to the subscale “respect.” There was a statistically significant difference between mothers and nurses in their experiences with FCC practices in all three subscales. The nurses reported more positive experiences with FCC practices than the mothers did (p<0.001). Conclusion: The mothers and nurses exercised FCC differently and nurses' experiences were more positive. Reasons behind the difference in mothers' and nurses' experiences with FCC practices should be investigated. Interventions are required to remove barriers associated with FCC practices in accordance with healthcare in Iran.

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Knowledge and Practice of Health Professionals in the Management of Dysphagia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18042139 ◽

2021 ◽

Vol 18 (4) ◽

pp. 2139

Author(s):

Eduardo Sánchez-Sánchez ◽

Ylenia Avellaneda-López ◽

Esperanza García-Marín ◽

Guillermo Ramírez-Vargas ◽

Jara Díaz-Jimenez ◽

...

Keyword(s):

Healthcare Providers ◽

Cross Sectional Study ◽

Clinical Settings ◽

Sectional Study ◽

Swallowing Disorder ◽

Cross Sectional ◽

Anonymous Questionnaire ◽

Knowledge And Practice ◽

Definition Of ◽

Management Of Dysphagia

The aim of this study was to determine healthcare providers’ knowledge and practices about dysphagia. A descriptive cross-sectional study was carried out based on a self-administered and anonymous questionnaire addressed to healthcare providers in Spain. A total of 396 healthcare providers participated in the study. Of these, 62.3% knew the definition of dysphagia as a swallowing disorder. In addition, up to 39.2% of the participants reported that they did not know whether the EatingAssessmentTool (EAT-10) dysphagia screening test was usedin their own clinical settings. Similarly, up to 49.1% of them did not know the ClinicalExaminationVolume-Viscosity (MECV-V) method. Nearly all participants (98.8%) reported that thickeners must be used forall liquids administered to patients. A higher percentage of respondents based the choice of texture on patient’s tolerance (78.2%) rather than on the MECV-V result (17.3%). In addition,76.4% of the professionals had witnessed a bronchoaspiration; after it, 44.4% (n = 175) of them reported the appearance of pneumonia, and 14.5% (n = 57) the death of the patient (p = 0.005). The participants revealeda moderate/low knowledge ofthe definition, diagnosis, and clinical management of liquid dysphagia, which indicates some room for improvements.

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Perspectives of Healthcare Professionals Regarding Factors Associated with Antimicrobial Resistance (AMR) and Their Consequences: A Cross Sectional Study in Eastern Province of Saudi Arabia

Antibiotics ◽

10.3390/antibiotics10070878 ◽

2021 ◽

Vol 10 (7) ◽

pp. 878

Author(s):

Mohamed A. Baraka ◽

Amany Alboghdadly ◽

Samar Alshawwa ◽

Asim Ahmed Elnour ◽

Hassan Alsultan ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Inappropriate Prescribing ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Sectional Study ◽

Key Factors ◽

Eastern Province ◽

Cross Sectional ◽

Factors Associated ◽

Factors Influencing

Factors reported in the literature associated with inappropriate prescribing of antimicrobials include physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians’ decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing antimicrobials would minimize the risk of resistance and, consequently, improve patients’ clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber’s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. A cross-sectional study was conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed, validated, and piloted survey specific with closed-ended questions. A value of p < 0.05 was considered to be statistically significant. All data analysis was performed using the Statistical Package for Social Sciences (IBM SPSS version 23.0). 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All of the respondents acknowledged effectiveness, previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) as being key factors influencing physicians’ choice during antimicrobial prescribing. The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials were reported to be common practices. Furthermore, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials, and the use of antimicrobials without a physician’s prescription (i.e., self-medication) represent key factors which contribute to AMR from participants’ perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.

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Healthcare Provider Attitudes toward the Newly Developed COVID-19 Vaccine: Cross-Sectional Study

Nursing Reports ◽

10.3390/nursrep11010018 ◽

2021 ◽

Vol 11 (1) ◽

pp. 187-194

Author(s):

Gasmelseed Ahmed ◽

Zainab Almoosa ◽

Dalia Mohamed ◽

Janepple Rapal ◽

Ofelia Minguez ◽

...

Keyword(s):

Private Hospital ◽

Univariate Analysis ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Chronic Illnesses ◽

Sectional Study ◽

Provider Attitudes ◽

Cross Sectional ◽

Electronic Survey ◽

Consistency Results

Background: During the long wait and the global anxiety for a vaccine against COVID-19, impressively high-safety and effective vaccines were invented by multiple pharmaceutical companies. Aim: We aimed to assess the attitudes of healthcare providers and evaluate their intention to advocate for the vaccine. Methods: This was a cross-sectional study conducted in a tertiary private hospital where an electronic survey was distributed among healthcare providers (HCPs). The survey contained two sections: socio-demographic characteristics and Likert-scale perception, with 72% internal consistency. Results: The response rate to the email survey was 37% (n = 236). In addition, 169 (71.6%) of respondents were women, with more than half (134, 56.8%) aged ≤35 years. A total of 110 (46.6%) had over 10 years of experience, and most of them were nurses (146, 62%). Univariate analysis revealed that older participants significantly accepted and advocated for the new vaccine more than the younger ones. In the multivariate analysis, men were significantly more likely than women to accept and advocate for the new vaccine, as were those with chronic illnesses. Participants with allergy were significantly less likely to accept the vaccine than others. odds ratio (OR) and p-values were 2.5, 0.003; 2.3, 0.04; and 0.4, 0.01, respectively. Conclusion: The acceptance rate for the newly-developed COVID-19 vaccines was average among HCPs. Sex, age, presence of chronic illnesses, and allergy were significant predictors of accepting the vaccine.

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Translation, adaptation, and validation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) for use in Japan: A multicenter cross-sectional study

10.1101/2020.05.14.20102442 ◽

2020 ◽

Author(s):

Takuya Aoki ◽

Yosuke Yamamoto ◽

Tomoaki Nakata

Keyword(s):

Patient Experience ◽

Internal Consistency ◽

Healthcare Providers ◽

Internal Consistency Reliability ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Validity Criterion ◽

Hospital Consumer Assessment ◽

Consumer Assessment

Objectives. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a well-established and internationally recognized scale for measuring patient experience with hospital inpatient care. This study aimed to develop a Japanese version of the HCAHPS and to examine its structural validity, criterion-related validity, and internal consistency reliability. Design. Multicenter cross-sectional study. Setting. A total of 48 hospitals in Japan. Participants. Patients aged ≥ 16 years who were discharged from the participating hospitals. Results. We translated the HCAHPS into Japanese according to the guidelines. Psychometric properties were examined using data from 6,522 patients. A confirmatory factor analysis showed excellent goodness of fit of the same factor structure as that of the original HCAHPS, with the following composites: communication with nurses, communication with doctors, responsiveness of hospital staff, hospital environment, communication about medicines, and discharge information. All hospital-level Pearson correlation coefficients between the Japanese HCAHPS composites and overall hospital rating exceeded the criteria. Results of inter-item correlations indicated adequate internal consistency reliability. Conclusions. We developed the Japanese HCAHPS, and evaluated its structural validity, criterion-related validity, and internal consistency reliability. This scale could be used for quality improvement based on the assessment of patient experience with hospital care and for health services research in Japan.

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Interprofessional Communication Team for Caregivers of Patients Hospitalized in the COVID-19 Wards: Results From an Italian Experience

Frontiers in Medicine ◽

10.3389/fmed.2021.621725 ◽

2021 ◽

Vol 8 ◽

Author(s):

Sara Carletto ◽

Michele Corezzi ◽

Maria Francesca Furmenti ◽

Elena Olivero ◽

Paola Rapicavoli ◽

...

Keyword(s):

Online Survey ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Communication Model ◽

Sectional Study ◽

Cross Sectional ◽

Interprofessional Communication ◽

Italian Experience ◽

Distress Level ◽

Additional Support

Background: During the COVID-19 pandemic, emergency restrictions did not allow clinician family meetings and relatives' visits. In Molinette Hospital, a new communication model between healthcare providers and families of COVID-19 affected patients was developed by a team of physicians and psychologists. The study's aims were to investigate caregivers' distress and to analyse their satisfaction with the communications provided.Methods: A cross-sectional study was conducted among caregivers of patients of Molinette Hospital COVID wards. Between April and June 2020, all caregivers were contacted 2 weeks after the patient's discharge/death to assess their satisfaction with the communications received through an online survey.Results: A total of 155 caregivers completed the survey. Caregivers' distress level was found to be higher in women than men (p = 0.048) and in caregivers whose relative died compared to the caregivers whose relative was discharged (p < 0.001). More than 85% of caregivers defined communication “excellent”/“very good”; being male was associated with higher satisfaction levels than women (β = −0.165, p = 0.046). Besides daily communication, 63 caregivers (40.6%) received additional support from a psychologist of the team.Conclusions: To our knowledge, this is the first study presenting, in an emergency, a new model of communication provided by a team of physicians and psychologists, and analyzing satisfaction with it. This model was highly appreciated by caregivers and it limited the discomfort caused by the restrictions on relatives' visits. It would be interesting to further evaluate the possibility of extending a communication model that includes doctors and psychologists in routine clinical practice.

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Drug utilization pattern in outdoor patients of pediatric tertiary care hospital: a cross sectional study

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20204502 ◽

2020 ◽

Vol 9 (11) ◽

pp. 1725

Author(s):

Sonal M. Parekar ◽

Girish K. Maindarkar ◽

Vishal V. Maindarkar

Keyword(s):

Drug Utilization ◽

Tertiary Care ◽

Cross Sectional Study ◽

Drug Formulation ◽

Oral Drug ◽

Care Hospital ◽

Pediatric Hospital ◽

Sectional Study ◽

Utilization Pattern ◽

Cross Sectional

Background: Drug utilization study is essential, as safe and effective therapeutic regimen in paediatric population is challenging. Pattern of use of drugs in pediatrics vary as compared to adults, also there is limited data available. The objective of this study was to study drug utilization pattern in pediatric patients attending pediatric outpatient department of Maindarkar pediatric hospital, Latur.Methods: A cross sectional study was carried out for a period of six months from September 2019 to February 2020, by analysing a total 1000 prescriptions of patients who had visited the OPD of Maindarkar pediatric hospital. Prescriptions were selected by simple random sampling method.Results: In our study, out of the total of 1000 prescriptions, 244 (24.4%) were of neonates, 556 (55.6%) were of infants (1 month to 1 year) and 200 (20%) were of children above 1 year. 547 (54.7%) prescriptions were of male patients and 453 (45.3%) were of female patients. The most frequent classes of drugs prescribed were nonsteroidal anti-inflammatory drugs 704 (70.4%), followed by drugs used for respiratory disorders 655 (65.5%) and supplements (60%). Antimicrobials were prescribed in 498 (49.8%) prescriptions. The average number of drugs per prescription was 2.45. About two third of all the prescribed drugs (74.41%) were from national essential medicine list. Most of the prescriptions had oral drug formulation 825 (82.5%) followed by inhalational 208 (20.8%) followed by injectables 150 (15%). All the drugs were prescribed by brand names.Conclusions: Our study helps health-care system to understand, interpret and improve prescribing, administration, to minimize adverse events and promote rational use of medicines.

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Investigating the Burden of Mental Distress Among Nurses at A Provincial COVID-19 Referral Hospital In Indonesia: A Cross-Sectional Study

10.21203/rs.3.rs-221595/v1 ◽

2021 ◽

Author(s):

Marthoenis Marthoenis ◽

Maskur Maskur ◽

Liza Fathiariani ◽

Jacqueline Nassimbwa

Keyword(s):

Mental Distress ◽

Healthcare Providers ◽

Severe Depression ◽

Face Mask ◽

Cross Sectional Study ◽

Referral Hospital ◽

Financial Hardship ◽

Sufficient Information ◽

Sectional Study ◽

Cross Sectional

Abstract Background: The current outbreak of COVID-19 pandemic distorts not only the physical, but also mental and psychological condition of healthcare providers, especially the nurses who directly working with the COVID-19 patients. This study aims to investigate the prevalence and risk factors of depression, anxiety and stress among nurses working in a COVID-19 referral hospital in Indonesia. Methods: A cross-sectional study was conducted. A self-administered questionnaire, DASS21, along with the demographic questions was used to screen the presence of psychological problems and their associated factors. Results: the prevalence of moderate to extremely severe depression, anxiety and stress was 8.7%, 20.7% and 5.8%, respectively. The prevalence rate was significantly higher among those with financial hardship during the COVID-19 pandemic, with 10.5%, 23.5% and 8.1% for depression, anxiety and anxiety (P<.05), respectively. Regression analysis confirmed that these mental problems were associated with the experience of social rejection, either by family or neighbor, because they were working in the hospital during the pandemic. Conclusions: The financial hardship experienced by the nurses during disease pandemic increases their burden of mental illness therefore, providing the financial subsidiary might reduce their financial uncertainty. Furthermore, the motivation to have a positive attitude toward the pandemic, promotion of healthy behavior such as the use of face mask and the provision of sufficient information on the diseases, may help them properly manage their mental distress.

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Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17176320 ◽

2020 ◽

Vol 17 (17) ◽

pp. 6320

Author(s):

Ju Young Kim ◽

Dae In Kim ◽

Hwa Yeon Park ◽

Yuliya Pak ◽

Phap Ngoc Hoang Tran ◽

...

Keyword(s):

Logistic Regression ◽

Associated Factors ◽

Healthcare Providers ◽

Healthcare Services ◽

Cross Sectional Study ◽

Sectional Study ◽

Multivariate Logistic Regression ◽

Cross Sectional ◽

Healthcare Needs ◽

Unmet Healthcare Needs

The purpose of this study was to examine the current utilization of healthcare services, exploring unmet healthcare needs and the associated factors among people living in rural Vietnam. This cross-sectional study was conducted with 233 participants in a rural area. The methods included face-to-face interviews using a structured questionnaire, and anthropometric and blood pressure measurements. We considered participants to have unmet health needs if they had any kind of health problem during the past 12 months for which they were unable to see a healthcare provider. Multivariate logistic regression analysis was performed to determine the factors associated with unmet healthcare needs. Of the participants, 18% (n = 43) had unmet healthcare needs, for reasons like transportation (30%), a lack of available doctors or medicine (47%), and communication issues with healthcare providers (16%). The multivariate logistic regression showed that living in a rural area, having stage 2 hypertension, and having insurance were associated with unmet healthcare needs. To better meet the healthcare needs in rural or suburban areas of Vietnam, allocation of adequate healthcare resources should be distributed in rural areas and insurance coverage for personalized healthcare needs might be required. Efforts should focus on availability of medicine, improvement of transportation systems, and communication skills of healthcare providers to improve access to healthcare services.

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Disclosure of herbal medicine use to health care providers among pregnant women in Nepal: a cross-sectional study

BMC Complementary Medicine and Therapies ◽

10.1186/s12906-020-03142-9 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Mansoor Ahmed ◽

Hyea Bin Im ◽

Jung Hye Hwang ◽

Dongwoon Han

Keyword(s):

Health Care ◽

Herbal Medicine ◽

Pregnant Women ◽

Health Care Providers ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Health Concern ◽

Care Providers ◽

Sectional Study ◽

Cross Sectional

Abstract Background Pregnant women’s disclosure of herbal medicine (HM) use to their health care providers during pregnancy is crucial, as misuse of HM can have a detrimental effect on both pregnant woman and the fetus. However, the lack of disclosure of HM use to physicians remains a public health concern in developing countries such as Nepal. Methods A cross-sectional study was conducted among 400 postpartum women admitted at Maternity and Women’s Hospital located in Kathmandu, Nepal. The survey instrument included 30 questions on the use of HM during pregnancy, sociodemographic and health characteristics, and pregnancy outcomes. Chi-square test and logistic regression were conducted for data analysis using SPSS ver. 21.0., and a p-value of less than 0.05 was considered statistically significant for all analyses. Results 60.3% of respondents used at least one herbal remedy during their previous pregnancy, and the overall disclosure rate of HM use to healthcare providers was 54.6%. Women with secondary education level and four or more antenatal care visits were more likely to disclose their HM use to healthcare providers. Conclusions This study highlights that despite the popular use of HM among pregnant women in Nepal, most women obtained HM-related information from informal sources and did not disclose their HM use to physicians. To ensure the safe use of HM, physicians should integrate questions regarding patients’ HM use into their routine patient assessments to facilitate active communication and improve the quality of care.

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